2014 Certification Criteria associated with MU Menu Stage 2:

1. Proposed 2014 Edition EHR Certification Criteria Mapped to the Proposed 2014 CEHRT Definition for EHs & CAHs Seeking to Achieve Proposed MU Stage 2 in and after FY 2014 • 2014 Certification Criteria associated with a Base EHR: • 2014 Certification Criteria associated with MU Menu Stage 2: • Drug-formulary checks (170.314(a)(10)) • Imaging (170.314(a)(12)) • Family health history (170.314(a)(13)) • Advance directives (170.314(a)(18)) • eRx(170.314(b)(3)) • CPOE (170.314(a)(1)) • Drug-drug, drug-allergy interaction checks (170.314(a)(2)) • Demographics (170.314(a)(3)) • Vital signs, BMI, & growth charts (170.314(a)(4)) • Problem list (170.314(a)(5)) • Medication list (170.314(a)(6)) • Medication allergy list (170.314(a)(7)) • Clinical decision support (170.314(a)(8)) • Transitions of Care – incorporate summary care record (170.314(b)(1)) • Transitions of Care – create & transmit summary care record (170.314(b)(2)) • Clinical quality measures (170.314(c)(1)-(2)) • View, download, & transmit to 3rd Party (170.314(e)(1)) • Privacy and Security CC: • Authentication, access control, & authorization(170.314(d)(1)) • Auditable events & tamper resistance (170.314(d)(2)) • Audit report(s) (170.314(d)(3)) • Amendments(170.314(d)(4)) • Automatic log-off (170.314(d)(5)) • Emergency access (170.314(d)(6)) • Encryption of data at rest(170.314(d)(7)) • Integrity (170.314(d)(8)) • Accounting of disclosures* (170.314(d)(9)) MU Menu MU Core • 2014 Certification Criteria associated with MU Core Stage 2: Base EHR • Smoking status (170.314(a)(11)) • Patient lists (170.314(a)(14)) • Patient-specific education resources (170.314(a)(16)) • eMAR(170.314(a)(17)) • Clinical information reconciliation (170.314(b)(4)) • Incorporate lab test & values/results (170.314(b)(5)) • Immunization information (170.314(f)(1)) • Transmission to immunization registries (170.314(f)(2)) • Public health surveillance (170.314(f)(3)) • Transmission to public health agencies (170.314(f)(4)) • Reportable lab tests and values/results (170.314(f)(5)) • Transmission of reportable lab tests & values/results (170.314(f)(6)) TBase *= optional • Additional 2014 Certification Criteria proposed: • Electronic Notes (170.314(a)(9)) • Transmission of electronic laboratory results and values/results to ambulatory providers (170.314(b)(6)) • Safety-enhanced design (170.314(g)(4)) • 2014 Certification Criteria associated with calculation & reporting: • Automated numerator recording (170.314(g)(1)) • Automated measure calculation (170.314(g)(2)) • Non-%-based measure use report (170.314(g)(3)) • Clinical quality measures (170.314(c)(3))

2. Proposed 2014 Edition EHR Certification Criteria Mapped to the Proposed 2014 CEHRT Definition for EPs Seeking to Achieve Proposed MU Stage 2 in and after CY 2014 • 2014 Certification Criteria associated with a Base EHR: • 2014 Certification Criteria associated with MU Menu Stage 2: • CPOE (170.314(a)(1)) • Drug-drug, drug-allergy interaction checks (170.314(a)(2)) • Demographics(170.314(a)(3)) • Vital signs, BMI, & growth charts (170.314(a)(4)) • Problem list (170.314(a)(5)) • Medication list (170.314(a)(6)) • Medication allergy list (170.314(a)(7)) • Clinical decision support (170.314(a)(8)) • Transitions of Care – incorporate summary care record (170.314(b)(1)) • Transitions of Care – create & transmit summary care record (170.314(b)(2)) • Clinical quality measures (170.314(c)(1)-(2)) • View, download, & transmit to 3rd Party (170.314(e)(1)) • Privacy and Security CC: • Authentication, access control, & authorization(170.314(d)(1)) • Auditable events & tamper resistance (170.314(d)(2)) • Audit report(s) (170.314(d)(3)) • Amendments(170.314(d)(4)) • Automatic log-off (170.314(d)(5)) • Emergency access (170.314(d)(6)) • Encryption of data at rest (170.314(d)(7)) • Integrity (170.314(d)(8)) • Accounting of disclosures*(170.314(d)(9)) • Imaging(170.314(a)(12)) • Family health history (170.314(a)(13)) • Public health surveillance (170.314(f)(3)) • Transmission to public health agencies (170.314(f)(4)) • Cancer case information (170.314(f)(7)) • Transmission to cancer registries (170.314(f)(8)) MU Menu MU Core Base EHR • 2014 Certification Criteria associated with MU Core Stage 2: • Drug-formulary checks (170.314(a)(10)) • Smoking status (170.314(a)(11)) • Patient lists (170.314(a)(14)) • Patient reminders (170.314(a)(15)) • Patient-specific education resources (170.314(a)(16)) • eRx(170.314(b)(3)) • Clinical information reconciliation (170.314(b)(4)) • Incorporate lab test & results/values (170.314(b)(5)) • Clinical summaries (170.314(e)(2)) • Secure messaging (170.314(e)(3)) • Immunization information (170.314(f)(1)) • Transmission to immunization registries (170.314(f)(2)) *= optional • Additional 2014 Certification Criteria proposed: • Electronic Notes (170.314(a)(9)) • Safety-enhanced design (170.314(g)(4)) • 2014 Certification Criteria associated with calculation & reporting: • Automated numerator recording (170.314(g)(1)) • Automated measure calculation (170.314(g)(2)) • Non-%-based measure use report (170.314(g)(3)) • Clinical quality measures (170.314(c)(3))

3. Proposed 2014 Edition EHR Certification Criteria Mapped to the Proposed 2014 CEHRT Definition for EHs & CAHs Seeking to Achieve Proposed MU Stage 1 in and after FY 2014 • 2014 Certification Criteria associated with a Base EHR: • 2014 Certification Criteria associated with MU Menu Stage 1: • CPOE (170.314(a)(1)) • Drug-drug, drug-allergy interaction checks (170.314(a)(2)) • Demographics (170.314(a)(3)) • Vital signs, BMI, & growth charts (170.314(a)(4)) • Problem list (170.314(a)(5)) • Medication list (170.314(a)(6)) • Medication allergy list (170.314(a)(7)) • Clinical decision support (170.314(a)(8)) • Clinical quality measures (170.314(c)(1)-(2)) • Transitions of care – incorporate summary care record (170.314(b)(1)) • Transitions of care – create & transmit summary care record (170.314(b)(2)) • View, download, & transmit to 3rd Party (170.314(e)(1)) • Privacy and Security CC: • Authentication, access control, & authorization(170.314(d)(1)) • Auditable events & tamper resistance (170.314(d)(2)) • Audit report(s) (170.314(d)(3)) • Amendments(170.314(d)(4)) • Automatic log-off ( 170.314(d)(5)) • Emergency access (170.314(d)(6)) • Encryption of data at rest (170.314(d)(7)) • Integrity (170.314(d)(8)) • Accounting of disclosures* (170.314(d)(9)) • Drug-formulary checks (170.314(a)(10)) • Patient lists (170.314(a)(14)) • Patient-specific education resources (170.314(a)(16)) • Advance directives (170.314(a)(18)) • Clinical information reconciliation (170.314(b)(4)) • Incorporate lab tests & values/ results (170.314(b)(5)) • Immunization information (170.314(f)(1)) • Transmission to immunization registries (170.314(f)(2)) • Public health surveillance (170.314(f)(3)) • Transmission to public health agencies (170.314(f)(4)) • Reportable lab tests & values/results (170.314(f)(5)) • Transmission of reportable lab tests & values/results (170.314(f)(6)) MU Menu MU Core Base EHR • 2014 Certification Criteria associated with MU Core Stage 1: • Smoking status (170.314(a)(11)) • 2014 Certification Criteria associated with calculation & reporting: • Automated numerator recording (170.314(g)(1)) • Automated measure calculation (170.314(g)(2)) • Non-%-based measure use report (170.314(g)(3)) • Clinical quality measures (170.314(c)(3)) • Additional 2014 Certification Criteria proposed: • Electronic Notes (170.314(a)(9)) • Safety-enhanced design (170.314(g)(4)) *= optional

4. Proposed 2014 Edition EHR Certification Criteria Mapped to the Proposed 2014 CEHRT Definition for EPs Seeking to Achieve Proposed MU Stage 1 in and after CY 2014 • 2014 Certification Criteria associated with a Base EHR: • 2014 Certification Criteria associated with MU Menu Stage 1: • CPOE (170.314(a)(1)) • Drug-drug, drug-allergy interaction checks (170.314(a)(2)) • Demographics (170.314(a)(3)) • Vital signs, BMI, & growth charts (170.314(a)(4)) • Problem list (170.314(a)(5)) • Medication list (170.314(a)(6)) • Medication allergy list (170.314(a)(7)) • Clinical decision support (170.314(a)(8)) • Clinical quality measures (170.314(c)(1)-(2)) • Transitions of care – incorporate summary care record (170.314(b)(1)) • Transitions of care – create & transmit summary care record (170.314(b)(2)) • View, download, & transmit to 3rd Party (170.314(e)(1)) • Privacy and Security CC: • Authentication, access control, & authorization(170.314(d)(1)) • Auditable events & tamper resistance (170.314(d)(2)) • Audit report(s) (170.314(d)(3)) • Amendments(170.314(d)(4)) • Automatic log-off ( 170.314(d)(5)) • Emergency access (170.314(d)(6)) • Encryption of data at rest (170.314(d)(7)) • Integrity (170.314(d)(8)) • Accounting of disclosures* (170.314(d)(9)) • Drug-formulary checks (170.314(a)(10)) • Patient lists (170.314(a)(14)) • Patient reminders (170.314(a)(15)) • Patient-specific education resources (170.314(a)(16)) • Clinical information reconciliation (170.314(b)(4)) • Incorporate lab tests & values/ results (170.314(b)(5)) • Immunization information (170.314(f)(1)) • Transmission to immunization registries (170.314(f)(2)) • Public health surveillance (170.314(f)(3)) • Transmission to public health agencies (170.314(f)(4)) MU Menu MU Core Base EHR • 2014 Certification Criteria associated with MU Core Stage 1: • Smoking status (170.314(a)(11)) • eRx(170.314(b)(3)) • Clinical summaries (170.314(e)(2)) • 2014 Certification Criteria associated with calculation & reporting: • Automated numerator recording (170.314(g)(1)) • Automated measure calculation (170.314(g)(2)) • Non-%-based measure use report (170.314(g)(3)) • Clinical quality measures (170.314(c)(3)) • Additional 2014 Certification Criteria proposed: • Electronic Notes (170.314(a)(9)) • Safety-enhanced design (170.314(g)(4)) *= optional